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Published in: Reproductive Health 1/2021

Open Access 01-12-2021 | Nausea | Research

Food aversion during pregnancy and its association with nutritional status of pregnant women in Boricha Woreda, Sidama Regional State, Southern Ethiopia, 2019. A community based mixed crossectional study design

Authors: Abel Yalew, Wondwosen Tekle Silasie, Anchamo Anato, Anteneh Fikrie

Published in: Reproductive Health | Issue 1/2021

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Abstract

Background

Despite high prevalence, food aversions are closely linked to the dietary intake of pregnant women. Thus, understanding this behavior is important in addressing the issue of maternal nutrition. Therefore, the aim of this study is to provide information on the prevalence and associated factors of food aversion and its relationship with the nutritional status of pregnant women in Boricha Woreda, Sidama Regional state, Southern Ethiopia, 2019.

Methods

A community based mixed cross sectional study was conducted among 505 randomly selected pregnant mothers at Boricha Woreda, Southern Ethiopia from June 1–20, 2019. Pre-tested and structured face-to-face interview questionnaire and focus group discussion guide were used to collect quantitative and qualitative data respectively. The quantitative data were cleaned, coded and entered into Epi Info version 7.1.4.0 and then exported to SPSS IBM version 20 for further analysis. The qualitative data were analyzed manually using a content analysis.The bi-variable and multivariable logistic regression was used to identify the possible factors of food aversion. AOR with the respective 95% CIs was used to declare statistical significance.

Results

Nearly, seven-in-ten (69.2%) of the pregnant women were averted of at least one food. Cereal (45.9%) and enset (44.2%) were averted by majority of the participants. The mean (± SD) MUAC measurement was 22.7 (± 2.4) cm. Pregnant women of age group of 24–28 [AOR = 3.04, 95% CI (1.72–5.35)] and 29–33 years [AOR = 2.00, 95% CI (1.02–3.92)], nausea during [AOR = 1.77, 95% CI (1.16–2.70)] and having additional meal [AOR = 1.68, 95% CI (1.02–2.75)] were significantly associated with food aversion. Maternal nutritional status and food aversion was sstatistically significant (p-value < 0.001).

Conclusion

High prevalence of food aversions (69.2%) and under nutrition (34.6%) among pregnant women is found. Therefore, the Woreda Health Office needs to intensify the integration of maternal nutrition into ANC services and training of health providers as well as critical appraisal of health extension workers should also be considered.
Literature
1.
go back to reference Poy MS, López LB. What do we know about food cravings and aversions during pregnancy? Integr Gynecol Obstet J. 2019;2(3):1–7. Poy MS, López LB. What do we know about food cravings and aversions during pregnancy? Integr Gynecol Obstet J. 2019;2(3):1–7.
2.
go back to reference King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr. 2000;71(5):1218–25.CrossRef King JC. Physiology of pregnancy and nutrient metabolism. Am J Clin Nutr. 2000;71(5):1218–25.CrossRef
4.
go back to reference Madu NB. Food craving and aversion among first time pregnant women in selected health facilities in Enugu metropolis Enugu state [research]. Nigeria: University Of Nigeria Enugu Campus; 2016. Madu NB. Food craving and aversion among first time pregnant women in selected health facilities in Enugu metropolis Enugu state [research]. Nigeria: University Of Nigeria Enugu Campus; 2016.
5.
go back to reference Hill A, Cairnduff DRM. Nutritional and clinical associations of food cravings in pregnancy. J Hum Nutr Diet. 2016;29:281–9.CrossRef Hill A, Cairnduff DRM. Nutritional and clinical associations of food cravings in pregnancy. J Hum Nutr Diet. 2016;29:281–9.CrossRef
6.
go back to reference Nyaruhucha CNM. Food cravings, aversions and pica among pregnant women in Dares Salaam. Tanzania Tanzan J Health Res. 2009;11(1):29–34.PubMed Nyaruhucha CNM. Food cravings, aversions and pica among pregnant women in Dares Salaam. Tanzania Tanzan J Health Res. 2009;11(1):29–34.PubMed
7.
go back to reference Olusanya JO. Food aversion and craving among pregnant women in Akure, Onda state, Nigeria. Int J Trop Med. 2009;4(3):100–3. Olusanya JO. Food aversion and craving among pregnant women in Akure, Onda state, Nigeria. Int J Trop Med. 2009;4(3):100–3.
8.
go back to reference Demissie T, Muroki NM, Kogi-Makau W. Food aversions and cravings during pregnancy: prevalence and significance for maternal nutrition in Ethiopia. Food Nutr Bull. 1998;19(1):20–6.CrossRef Demissie T, Muroki NM, Kogi-Makau W. Food aversions and cravings during pregnancy: prevalence and significance for maternal nutrition in Ethiopia. Food Nutr Bull. 1998;19(1):20–6.CrossRef
9.
go back to reference Yoseph HH. Prevalence of food aversions, cravings and pica during pregnancy and their association with nutritional status of pregnant women in Dale Woreda, Sidama zone, SNNPRS, Ethiopia. Int J Nutr Metab . 2015;7(1):1–14.CrossRef Yoseph HH. Prevalence of food aversions, cravings and pica during pregnancy and their association with nutritional status of pregnant women in Dale Woreda, Sidama zone, SNNPRS, Ethiopia. Int J Nutr Metab . 2015;7(1):1–14.CrossRef
10.
go back to reference Bayley TM, Dye L, Jones S, DeBono M, Hill AJ. Food cravings and aversions during pregnancy: relationships with nausea and vomiting. Appetite. 2002;38:45–51.CrossRef Bayley TM, Dye L, Jones S, DeBono M, Hill AJ. Food cravings and aversions during pregnancy: relationships with nausea and vomiting. Appetite. 2002;38:45–51.CrossRef
12.
go back to reference Mckerracher L, Collard M, Henrich J. The expression and adaptive signifi cance of pregnancy-related nausea, vomiting, and aversions on Yasawa Island, Fiji. Evol Hum Behav. 2015;36:95–102.CrossRef Mckerracher L, Collard M, Henrich J. The expression and adaptive signifi cance of pregnancy-related nausea, vomiting, and aversions on Yasawa Island, Fiji. Evol Hum Behav. 2015;36:95–102.CrossRef
13.
go back to reference Patil CL. Appetite sensations in pregnancy among agropastoral women in rural Tanzania. Ecol Food Nutr. 2012;51:431–43.CrossRef Patil CL. Appetite sensations in pregnancy among agropastoral women in rural Tanzania. Ecol Food Nutr. 2012;51:431–43.CrossRef
14.
go back to reference Weigel MM, Coe K, Castro NP, Caiza ME, Tello N. Food aversions and cravings during early pregnancy: association with nausea and vomiting. Ecol Food Nutr. 2011;50:197–214.CrossRef Weigel MM, Coe K, Castro NP, Caiza ME, Tello N. Food aversions and cravings during early pregnancy: association with nausea and vomiting. Ecol Food Nutr. 2011;50:197–214.CrossRef
15.
go back to reference Mckerracher L, Collard M, Henrich J. Food aversions and cravings during pregnancy on Yasawa Island, Fiji. Hum Nat. 2016;27(3):296–315.CrossRef Mckerracher L, Collard M, Henrich J. Food aversions and cravings during pregnancy on Yasawa Island, Fiji. Hum Nat. 2016;27(3):296–315.CrossRef
16.
go back to reference Sharlin J, Edelstein S. Essentials of life cycle nutrition. Burlington: Jones and Bartlett Publishers; 2011. Sharlin J, Edelstein S. Essentials of life cycle nutrition. Burlington: Jones and Bartlett Publishers; 2011.
17.
go back to reference A 2011 E.C Annual Performance Report. Boricha Woreda, Yirba Town: Sidama Zone Boricha Woreda Health Office, 2011. A 2011 E.C Annual Performance Report. Boricha Woreda, Yirba Town: Sidama Zone Boricha Woreda Health Office, 2011.
18.
go back to reference Okeke LAE, Analuba R. Prevalence of food craving and aversion during pregnancy in women in Asaba, Delta state. Multidiscip J Res Dev2014;22(1). Okeke LAE, Analuba R. Prevalence of food craving and aversion during pregnancy in women in Asaba, Delta state. Multidiscip J Res Dev2014;22(1).
19.
go back to reference Sphere Project. The humanitarian charter and minimum standards in disaster response. Geneva: Sphere Project; 2004. p. 2004. Sphere Project. The humanitarian charter and minimum standards in disaster response. Geneva: Sphere Project; 2004. p. 2004.
20.
go back to reference Hainutdzinava N, Weatherstone K, Worobey J. Food cravings and aversions during pregnancy: a current snapshot. J Pediatr Mother Care. 2017;2(1):1–5.CrossRef Hainutdzinava N, Weatherstone K, Worobey J. Food cravings and aversions during pregnancy: a current snapshot. J Pediatr Mother Care. 2017;2(1):1–5.CrossRef
22.
go back to reference World Health Organization. Nutrition of women in the preconception period, during pregnancy and the breastfeeding period. Geneva: World Health Organization; 2012. World Health Organization. Nutrition of women in the preconception period, during pregnancy and the breastfeeding period. Geneva: World Health Organization; 2012.
23.
go back to reference Tafese Z, Kebebu A. A systematic review of maternal feeding practice and its outcome in developing countries. J Nurs Womens Health. 2017;2:9–14. Tafese Z, Kebebu A. A systematic review of maternal feeding practice and its outcome in developing countries. J Nurs Womens Health. 2017;2:9–14.
24.
go back to reference [Ethiopia] CSAC, ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa: CSA and ICF; 2016. [Ethiopia] CSAC, ICF. Ethiopia Demographic and Health Survey 2016. Addis Ababa: CSA and ICF; 2016.
Metadata
Title
Food aversion during pregnancy and its association with nutritional status of pregnant women in Boricha Woreda, Sidama Regional State, Southern Ethiopia, 2019. A community based mixed crossectional study design
Authors
Abel Yalew
Wondwosen Tekle Silasie
Anchamo Anato
Anteneh Fikrie
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
Nausea
Published in
Reproductive Health / Issue 1/2021
Electronic ISSN: 1742-4755
DOI
https://doi.org/10.1186/s12978-021-01258-w

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